Individual
DR. SARMA V PONNAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
760 BROADWAY, WOODHULL HOSPITAL, BROOKLYN, NY 11206-5317
(719) 963-8782
(718) 963-8784
Mailing address
11201 QUEENS BLVD APT 4E, FOREST HILLS, NY 11375-5586
(347) 392-4210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
138205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00589762
—
NY
Enumeration date
08/05/2006
Last updated
10/11/2007
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